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1104932532
RYAN WELLER
PORTLAND, OR
NPI
1104932532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 3430)
Enumeration Date
2006-08-21
Last Update Date
2007-07-10
Business Address
Mr. RYAN WELLER LCSW
3710 SW US VETERANS HOSPITAL RD P5-SWS
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Mr. RYAN WELLER LCSW
PO BOX 1034 P2-SWS
PORTLAND, OR 97207-1034
Phone number: 503-220-8262
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